NPI | 1093834467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 34605) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME18134) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |