NPI | 1508285693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A188996) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0065880) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2023-11-22 |