| NPI | 1558326199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-28631) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2000157555) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-08-21 |