| NPI | 1558364398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 333854) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR0041367) |
| 207Y00000X Otolaryngology (Licence: TX Q9675) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-10-19 |