| NPI | 1467639864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DE C1-0008440) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0066022) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2022-04-25 |