NPI | 1245215904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 200101324) |
Additional Taxonomies | 207YS0012X Otolaryngology Sleep Medicine (Licence: NC 200101324) |
207YX0602X Otolaryngology Otolaryngic Allergy (Licence: NC 200101324) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2021-05-06 |