NPI | 1477552941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A81316) |
Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CA A81316) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2021-11-29 |