| NPI | 1033378245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM MD2009-0464) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT184869) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2015-08-03 |