NPI | 1154570679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 253792) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A105098) |
207Y00000X Otolaryngology (Licence: PA MT183380) | |
207Y00000X Otolaryngology (Licence: NY 301004) | |
Enumeration Date | 2008-09-09 |
Last Update Date | 2021-04-02 |