NPI | 1265429609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI 4301513883) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 30862) |
207Y00000X Otolaryngology (Licence: MI 4301513883) | |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IA 30862) | |
Enumeration Date | 2005-09-30 |
Last Update Date | 2025-08-06 |