NPI | 1558355628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 59036) |
Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: MA 59036) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2011-12-09 |