NPI | 1033614458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 7992818-1205) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD214601) |
207Y00000X Otolaryngology (Licence: MN 65850) | |
207Y00000X Otolaryngology (Licence: MN 29286) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2025-03-10 |