| NPI | 1124461108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 38272) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 323416) |
| 207Y00000X Otolaryngology (Licence: MO 2018025679) | |
| 207Y00000X Otolaryngology (Licence: GA 110053) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2025-11-19 |