NPI | 1780629717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA C136123) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D59547) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2021-11-05 |