| NPI | 1962622860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301096145) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301096145) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-09-15 |