NPI | 1831455328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A126429) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD181722) |
207Y00000X Otolaryngology (Licence: CO 0060269) | |
Enumeration Date | 2012-04-09 |
Last Update Date | 2022-07-21 |