NPI | 1548550502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-40511) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2018038932) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2025-07-22 |