| NPI | 1053318774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 036777) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: GA 036777) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-02-09 |