NPI | 1366543985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MT 7735) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MT 7735) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2019-01-10 |