| NPI | 1114918307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301042557) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301042557) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2021-06-17 |