| NPI | 1073504221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NC -26946) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 26946) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2021-11-20 |