| NPI | 1083818660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P3424) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP1-0026608) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-04-27 |