NPI | 1265545222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101245145) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0024504) |
207Y00000X Otolaryngology (Licence: DC MD037916) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2011-11-16 |