| NPI | 1093938615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 28192) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 076531) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-08-12 |