NPI | 1295074458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 53661) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A124493) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2020-02-18 |