| NPI | 1912902941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: LA MD200006) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX J3038) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: PA MD037934-E) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA G66176) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-01-05 |