NPI | 1265439301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV 10220) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35035903I) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2013-08-09 |