NPI | 1528040268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM 76258) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NM 76258) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2017-03-15 |