NPI | 1831254002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2014001101) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 38108) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2021-02-26 |