| NPI | 1770503484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 0434839) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2006020974) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-01-17 |