NPI | 1487948998 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD452847) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT199970) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2022-07-21 |