NPI | 1922218999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MD463248) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD463248) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2019-02-26 |