| NPI | 1659531515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 0437088) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2014008788) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2024-07-26 |