NPI | 1073504221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NC -26946) |
Additional Taxonomies | 174400000X Specialist (Licence: NC 26946) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2021-11-20 |