| NPI | 1093134173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A142734) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-46065) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-07-13 |