| NPI | 1831137173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX J1990) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX J1990) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-06-14 |