| NPI | 1033602313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SD 14536) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 8320) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-07-07 |