NPI | 1457856627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301513741) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A166157) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2025-07-22 |