NPI | 1447493416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60921000) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A128811) |
207Y00000X Otolaryngology (Licence: GA 73869) | |
Enumeration Date | 2009-04-07 |
Last Update Date | 2019-04-13 |