NPI | 1588920748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35-132115) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35-132115) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2024-11-19 |