NPI | 1639495690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301106953) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.122233) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2015-07-29 |