| NPI | 1073673505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0047366) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101052267) |
| 207Y00000X Otolaryngology (Licence: DC MD21307) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-01-19 |