| NPI | 1376703454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CA A150679) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125053418) |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: MI 4301099963) | |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: IN 01073373A) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2020-05-07 |