NPI | 1629459243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.151538) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 1014745) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2024-07-26 |