NPI | 1689885659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME149086) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 33413) |
207Y00000X Otolaryngology (Licence: FL ME149086) | |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: SC 33413) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-02-17 |