NPI | 1386829604 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A102384) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 260338) |
Enumeration Date | 2008-01-05 |
Last Update Date | 2014-09-09 |