NPI | 1285680066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 9400212) |
Additional Taxonomies | 174400000X Specialist (Licence: NC 9400212) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2019-06-05 |