NPI | 1851711782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 61177) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A160888) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2022-03-14 |