NPI | 1851534317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 49174) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2014-02553) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2024-08-14 |