NPI | 1083735401 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL OS10621) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 5101016166) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2013-01-24 |