NPI | 1881690600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME0074316) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME74316) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2019-05-03 |