NPI | 1386733970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DC MD8523) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: DC MD8523) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |