NPI | 1528040417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 72182) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 2372051) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2009-10-05 |