NPI | 1922052810 |
---|---|
Other Name | SHANE P DAVIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AL 23766) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2007-07-08 |