| NPI | 1740201599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2009003008) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 04-40802) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-07-18 |