NPI | 1811986128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 28538) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 28538) |
231H00000X Audiologist (Licence: AZ 28538) | |
Enumeration Date | 2005-10-19 |
Last Update Date | 2011-03-24 |