| NPI | 1073700969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: AZ 72109) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ R76064) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: LA 331171) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-07-18 |