NPI | 1447261268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 16631) |
Additional Taxonomies | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: MS 16631) |
207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: MS 16631) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2010-11-12 |