| NPI | 1487668158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX N7893) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX N7893) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-08-25 |