NPI | 1568498475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 080260) |
Additional Taxonomies | 174400000X Specialist (Licence: CA SLG76942) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-07-23 |