NPI | 1477998284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 0442206) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2019016546) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2019-11-27 |