| NPI | 1346321650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 29407) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC TL39407) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-04-02 |