| NPI | 1306900584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: MO 2010003278) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2010003278) |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: KS 04-34161) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-08-13 |