| NPI | 1467470955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD42766) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2006007891) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-03-23 |