NPI | 1447744180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA F611) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA LT000833) |
Enumeration Date | 2018-06-17 |
Last Update Date | 2019-09-16 |