NPI | 1467470955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD42766) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2006007891) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-03-23 |