NPI | 1689858201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 46178) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 129298) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2023-02-15 |