NPI | 1972591899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NV 15683) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 053153) |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 053153) | |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: GA 053153) | |
Enumeration Date | 2005-10-13 |
Last Update Date | 2023-01-31 |