NPI | 1003349598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 67739) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61288654) |
207YX0901X Otolaryngology, Otology & Neurotology (Licence: WA MD61288654) | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-08-07 |