NPI | 1356323000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 34006288) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OH 34006288) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2021-01-21 |