NPI | 1063562544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101037612) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0032351) |
207Y00000X Otolaryngology (Licence: DC MD14411) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2012-12-06 |