| NPI | 1902244940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: UT 11244058-1205) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MN 58157) |
| 207Y00000X Otolaryngology (Licence: MN 58157) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-11-11 |