| NPI | 1689885873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0058852) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: HI MD14408) |
| 207Y00000X Otolaryngology (Licence: TX S8772) | |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2024-02-21 |