| NPI | 1265799274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 60871) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TN 60871) |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2024-06-14 |