| NPI | 1992125066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 28981) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 28981) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-08-21 |