NPI | 1275824856 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: UT 10287028-1205) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: UT 10287028-1205) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-29 |
Last Update Date | 2021-11-11 |