NPI | 1477973220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME168242) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX T9183) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2024-09-27 |