NPI | 1902840929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX L1692) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX L1692) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2008-02-11 |