NPI | 1659392579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 29133) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 29133) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2008-02-19 |