NPI | 1215932397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 38419) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E4088) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2011-09-22 |