| NPI | 1497978548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-35738) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2012008845) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-07-18 |