| NPI | 1245292572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 107828) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 04-25582) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-02-01 |