NPI | 1518223908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.142272) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 078071) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2023-04-17 |