NPI | 1205837689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME165334) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301501449) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2024-09-04 |