| NPI | 1437513694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.150305) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC MMD.90201) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-07-19 |