| NPI | 1023549870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX T5433) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX 125.071145) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-07-15 |