NPI | 1952891871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: GA 95295) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Y00000X Otolaryngology (Licence: GA 95295) | |
Enumeration Date | 2018-05-16 |
Last Update Date | 2023-07-13 |