| NPI | 1972846491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MO 2020015661) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: KS 04-43514) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-08-01 |