| NPI | 1396989885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-37502) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2018024687) |
| 207Y00000X Otolaryngology (Licence: TN 10410884) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2018-08-10 |