| NPI | 1487812707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2013021876) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 04-40462) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2024-08-23 |