| NPI | 1841283496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 33292) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MT 160584) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2025-07-07 |