NPI | 1639159007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI FB009336) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MI FB009336) |
208200000X Plastic Surgery (Licence: MI FB009336) | |
Enumeration Date | 2006-01-20 |
Last Update Date | 2008-05-16 |