NPI | 1689745044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D22385) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DC MD14490) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2022-06-16 |