NPI | 1750489092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 07695) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MS 07695) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |