NPI | 1245292572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-25582) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 107828) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2024-07-19 |