NPI | 1518429604 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0099343) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA PTL455) |
Enumeration Date | 2019-04-05 |
Last Update Date | 2024-05-08 |