| NPI | 1306224530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD198059) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10052647) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-01-09 |