| NPI | 1407837297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD-9331) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD9331) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2023-08-25 |