| NPI | 1447839931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0076686) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO DR.0076686) | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2026-06-04 |