NPI | 1447561824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA a131636) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 303432) |
207Y00000X Otolaryngology (Licence: TX bp10028778) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2021-12-17 |