NPI | 1881182962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 320272-01) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2023-10-20 |