NPI | 1285653535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 191884-1) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 191884-1) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-04-03 |