| NPI | 1568469799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 033244) |
| Additional Taxonomies | 207YS0012X (Licence: GA 033244) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 033244) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2022-02-09 |