| NPI | 1184876039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: TX 207YP0228X) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX P7873) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2022-04-20 |