NPI | 1861658718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A120391) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA 60208875) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2021-11-30 |