| NPI | 1851534317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 49174) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2014-02553) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-08-14 |