NPI | 1568660306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX R3869) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX 45529) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2020-11-13 |