NPI | 1629012323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A042826) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A42826) |
207P00000X Emergency Medicine (Licence: CA A042826) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2015-09-02 |