| NPI | 1053370536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0066926) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 9501133) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-03-07 |