NPI | 1891743910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A84567) |
Additional Taxonomies | 208D00000X General Practice (Licence: MS 19132) |
207Y00000X Otolaryngology (Licence: IL 036.144906) | |
208D00000X General Practice (Licence: LA MD.200605) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2019-04-01 |