NPI | 1649273772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 22390) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 30070) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2009-09-02 |