NPI | 1073673505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0047366) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101052267) |
207Y00000X Otolaryngology (Licence: DC MD21307) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2022-01-19 |