NPI | 1346680758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 308399) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS T-2709) |
Enumeration Date | 2013-06-29 |
Last Update Date | 2021-06-04 |