NPI | 1598761629 |
---|---|
Former Name | MICHELLE SIEGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 042226) |
Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CT 042226) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2007-07-08 |