NPI | 1558307967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD026254E) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 15410501) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2021-03-25 |