NPI | 1366419129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 079175) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 198569) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2018-10-11 |