| NPI | 1033844337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CT 80014) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 80014) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2025-01-14 |