NPI | 1750322533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD465358) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 40581) |
207YX0901X Otolaryngology, Otology & Neurotology (Licence: KY 40581) | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-08-28 |