NPI | 1669676268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 26178) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP2-0016825) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2019-05-16 |