NPI | 1497717813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G52096) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G52096) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2010-01-14 |