| NPI | 1396852422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35087423) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-087423) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-10-11 |