| NPI | 1598879348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX H2393) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H2393) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-09-08 |