| NPI | 1346478633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WI 4817) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 4817) |
| 207Y00000X Otolaryngology (Licence: MI 4301094280) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-09-10 |