| NPI | 1326200775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S2432) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E-5182) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-06-28 |