NPI | 1740282623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME75546) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME 75546) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2019-06-07 |