NPI | 1760620850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 260938) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC 153397) |
Enumeration Date | 2009-01-27 |
Last Update Date | 2019-04-02 |