NPI | 1427108968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.201345) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP30020108) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2022-12-29 |