| NPI | 1881867950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 37983) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 011634855) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-11-13 |