| NPI | 1023239134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 204426) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS T1918) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-01-08 |