NPI | 1437119518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PR 9422) |
Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: PR 9422) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2013-03-21 |