| NPI | 1538506498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 86257) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX BP10065142) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2022-09-20 |