NPI | 1568704146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD464233) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT204178) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2021-12-22 |