| NPI | 1003808593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 52050) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: GA 052050) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-02-09 |