NPI | 1588839153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD202364) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A102001) |
207Y00000X Otolaryngology (Licence: MD D66458) | |
207Y00000X Otolaryngology (Licence: NY 248340) | |
Enumeration Date | 2008-04-24 |
Last Update Date | 2011-11-17 |