NPI | 1578622130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD H85869) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0102201384) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-01-24 |