NPI | 1669907515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IA MD-50145) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-28 |
Last Update Date | 2024-03-21 |