NPI | 1508916040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101036435) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0040512) |
207Y00000X Otolaryngology (Licence: DC MD10213) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |