NPI | 1518906809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX J0065) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2008-00970) |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NC 2008-00970) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2020-04-29 |