| NPI | 1801059514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX M9939) |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: TX M9939) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-02-15 |