NPI | 1639608102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 65367) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019334A) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-07-07 |