| NPI | 1326493388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101282659) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX T6870) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-06-19 |