NPI | 1356599476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA AFE21752) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA AFE21752) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2008-09-03 |