| NPI | 1487041653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: GA 95100) |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: DE C7-0005830) |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: MN 25826) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-01-14 |