| NPI | 1194136838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 82642) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 390200000) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2019-06-17 |