| NPI | 1124043823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: NC 16821) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 16821) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-04-14 |