NPI | 1790213973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 41136) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC LL41136) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-08-01 |