NPI | 1427023506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD008053) |
Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000008053) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2010-02-19 |