| NPI | 1437107430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 26436) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 29710) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-07-22 |