NPI | 1871501437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 035088358) |
Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 35-088358) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-07-28 |