NPI | 1013029446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D28133) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D28133) |
208600000X Surgery (Licence: MD D28133) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-12-02 |