NPI | 1093788853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G52273) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G052273) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2020-06-12 |