| NPI | 1477040335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S1750) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10055482) |
| 207Y00000X Otolaryngology (Licence: TX 46350) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2021-10-28 |