NPI | 1780654822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD418361) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 46193) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2011-05-18 |