| NPI | 1427108968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.201345) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP30020108) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-12-29 |