| NPI | 1316069297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR E5596) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E-5596) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-02-19 |