| NPI | 1063440444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 31846) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ 31846) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-01-23 |