NPI | 1649338468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 12497) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NH 12497) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-06-22 |