NPI | 1770561235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MA 51671) |
Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MA 51671) |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MA 15671) | |
Enumeration Date | 2006-01-05 |
Last Update Date | 2013-12-09 |