NPI | 1720178775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME122440) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 18366) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-11-01 |