| NPI | 1841208378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q1156) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD26411) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-11-12 |