NPI | 1205285749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI 4301507703) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301507703) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2023-09-15 |