NPI | 1225185465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A21095) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A21095) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2023-05-23 |