| NPI | 1558528745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AK MED56483) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AK 4922) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2024-04-02 |