NPI | 1780626804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 010024) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 0100024) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-05-03 |