NPI | 1821144429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A107632) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR-49903) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1327) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2021-12-01 |