NPI | 1538124250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA g70770) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 328863) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2024-09-18 |