| NPI | 1417906793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.013569) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 013569) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2024-05-31 |