NPI | 1427018191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 186744-1205) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: UT 186744-1205) |
Enumeration Date | 2006-03-25 |
Last Update Date | 2010-06-29 |