NPI | 1679665400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DE C10004010) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: DE C10004010) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2016-02-10 |