| NPI | 1083609317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology Sleep Medicine (Licence: IA 23086) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 23086) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-01-17 |