| NPI | 1871768085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0050028) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 134532) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-11-27 |