NPI | 1306849443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 131422) |
Additional Taxonomies | 174400000X Specialist (Licence: WI 31422) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2017-03-10 |