| NPI | 1508109224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 35.140007) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TN 59001) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-12-24 |