| NPI | 1659353753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NV 9962) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NV 9962) |
| 231H00000X Audiologist | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-03-15 |