| NPI | 1285625210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301053017) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301053017) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2024-06-20 |