NPI | 1548550502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KS 0440511) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 39232) |
207Y00000X Otolaryngology (Licence: MO 2018038932) | |
207Y00000X Otolaryngology (Licence: KS 04-40511) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-12 |
Last Update Date | 2024-03-27 |