| NPI | 1093731150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-42803) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OK 24718) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-09-08 |