| NPI | 1942691910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 94705) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA ML60571361) |
| 207Y00000X Otolaryngology (Licence: MD d93191) | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-10-26 |