| NPI | 1982636742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX F9837) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX F9837) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-08-27 |