NPI | 1285724146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: WA MD00016657) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD00016657) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2017-11-08 |