| NPI | 1073546578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-32490) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2008016031) |
| 208600000X Surgery (Licence: KS 0432490) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-02-28 |