NPI | 1457332272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 040500) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 040500) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2023-03-07 |