NPI | 1689669970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CO 27338) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO 27338) |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CO 27338) | |
Enumeration Date | 2005-09-13 |
Last Update Date | 2008-12-31 |