NPI | 1932174745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 56183) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 34980) |
207Y00000X Otolaryngology (Licence: AZ 35674) | |
207Y00000X Otolaryngology (Licence: MN 55814) | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2022-10-17 |