NPI | 1629168117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TN MD43893) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME98192) |
207Y00000X Otolaryngology (Licence: AR E3414) | |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AR E3414) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2009-01-15 |