| NPI | 1881841971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A157073) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0116023195) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-04-24 |