NPI | 1285661363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G33562) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G33562) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2021-04-19 |