NPI | 1013207588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0069951) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX R8456) |
Enumeration Date | 2011-04-18 |
Last Update Date | 2023-03-01 |