NPI | 1659367449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 17741) |
Additional Taxonomies | 174400000X Specialist (Licence: NC 17741) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2014-04-17 |