NPI | 1346398690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 236999) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A98950) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2016-09-12 |