NPI | 1215937859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G59804) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G59804) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2020-03-30 |