NPI | 1861870511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD469752) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT208847) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2024-12-19 |