| NPI | 1821559527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: UT 13882316-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 13882316-1205) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-12 |