NPI | 1396765871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 6959601-1205) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD25626) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2012-02-01 |