NPI | 1215076807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 48649) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A116906) |
207Y00000X Otolaryngology (Licence: TN MD48597) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2024-06-04 |