NPI | 1780718791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 42023) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A84366) |
207Y00000X Otolaryngology (Licence: TX M8817) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2008-11-25 |