NPI | 1376525527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N5629) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX N5629) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2020-05-21 |