NPI | 1306281613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: FL ME166218) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 315145) |
207Y00000X Otolaryngology (Licence: FL 166218) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-01 |
Last Update Date | 2024-12-06 |