NPI | 1073546578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-32490) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2008016031) |
208600000X Surgery (Licence: KS 0432490) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2014-02-28 |