NPI | 1629182415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A40650) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A40650) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2007-07-08 |