NPI | 1194046151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A136329) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A136329) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2015-12-04 |