NPI | 1194945972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 57165) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2011002617) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2013-01-31 |