NPI | 1619988243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 15739) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD0000030098) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2022-02-08 |