NPI | 1003347204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A158313) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX T5333) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-02-02 |