NPI | 1023628666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.142601) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD470207) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2023-03-19 |