NPI | 1093863169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CA G68567) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA G68567) |
207YX0901X Otolaryngology Otology & Neurotology (Licence: CA 6068567) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2024-04-28 |