| NPI | 1285129387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: WI 87827-20) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 87827-20) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2026-07-24 |