| NPI | 1275698367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ID O-337) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA OP00001929) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-04-16 |