NPI | 1649833013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 5101027692) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 55101027692) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-20 |
Last Update Date | 2024-10-22 |