NPI | 1689091522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S5306) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D87062) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2022-12-06 |