NPI | 1174788681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 261885) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX N5831) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2023-07-06 |