| NPI | 1588829402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ID M-17665) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ 57030) |
| 207Y00000X Otolaryngology (Licence: WI 53719-020) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2024-02-14 |