NPI | 1578764551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301086194) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301086194) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2013-11-06 |