| NPI | 1801983655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301062152) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301062152) |
| 207Y00000X Otolaryngology (Licence: AL 39186) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: AL 39186) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-07-02 |