| NPI | 1548284623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MO 2006015215) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: KS 0431872) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A90092) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-02-01 |