| NPI | 1619915832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX K8419) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX K8419) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-07-19 |