NPI | 1952329138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME112998) |
Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: FL ME112998) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-10-18 |