| NPI | 1306800404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WI 3792) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 039054) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX U4672) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-03-14 |