NPI | 1346594942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD207171) |
Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: LA MD207171) |
Enumeration Date | 2012-11-04 |
Last Update Date | 2021-09-09 |