| NPI | 1447561824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA a131636) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 303432) |
| 207Y00000X Otolaryngology (Licence: TX bp10028778) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-12-17 |