| NPI | 1861460156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 46754) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 36364) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-10-19 |