NPI | 1386640662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.120185) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WV 13857) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2014-08-07 |