NPI | 1710274220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.146882) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.146882) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2023-05-18 |