| NPI | 1952371072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-19252) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 04-19252) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2025-02-25 |