NPI | 1780670570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 15098) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CT 15098) |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CT 15098) | |
Enumeration Date | 2005-09-27 |
Last Update Date | 2007-07-08 |