| NPI | 1881734614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: OK 34303) |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: MO 2010013480) |
| 207Y00000X Otolaryngology (Licence: NE 4710) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-11-10 |