| NPI | 1740353879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35079020G) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35079020) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-03-24 |