| NPI | 1497250716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 72044) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D96898) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-08-15 |