NPI | 1285625210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301053017) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301053017) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2024-06-20 |