| NPI | 1790854792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CO DR.0055655) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0055655) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2025-05-29 |