NPI | 1891086799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0080586) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101259510) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-26 |
Last Update Date | 2019-07-30 |