| NPI | 1598761520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-24706) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 424706) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-05-01 |