NPI | 1902887730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: NY 172268) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 172268-1) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2019-01-23 |