NPI | 1437310307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-36282) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KS 04-36282) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2022-06-05 |