| NPI | 1437511680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.146306) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA applying) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2023-11-03 |