| NPI | 1275982431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD477946) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD203810) |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: OR MD203810) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-08-19 |