NPI | 1346462496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX Q7259) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A117254) |
207Y00000X Otolaryngology (Licence: IL 125-051674) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2019-10-28 |