NPI | 1851393474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: WV 18680) |
Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: KY 36609) |
207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 85251) | |
Enumeration Date | 2005-08-12 |
Last Update Date | 2021-05-07 |