NPI | 1154329894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX E1918) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY C2619) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2024-06-27 |