| NPI | 1285808246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.136184) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY FB3752993) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2018-08-27 |