| NPI | 1346567732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0056154) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 52260) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2022-05-12 |