NPI | 1548260078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX G4841) |
Additional Taxonomies | 174400000X Specialist (Licence: TX G4841) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2024-10-09 |