| NPI | 1023086329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 17455) |
| Additional Taxonomies | 207YS0012X (Licence: OK 17455) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: OK 17455) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-09-25 |