NPI | 1134187438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX G0215) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX G0215) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2016-05-25 |