| NPI | 1831171180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 3816) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35084546) |
| 207Y00000X Otolaryngology (Licence: KY 36803) | |
| 207Y00000X Otolaryngology (Licence: MN 73267) | |
| 207Y00000X Otolaryngology (Licence: WV 23086) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2024-02-16 |