NPI | 1740481530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 127942) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57011560) |
207Y00000X Otolaryngology (Licence: MI 4301097625) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2014-11-25 |