NPI | 1861405706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DC MD32942) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC MD 32942) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2023-03-31 |