NPI | 1477737914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.203370) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA PGY.1.TUL-OTO) |
Enumeration Date | 2007-12-19 |
Last Update Date | 2025-05-29 |