| NPI | 1366531220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CO DR.0026196) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 26196) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CO DR.0026193) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-12-01 |