| NPI | 1134123912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0051380) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 0051380) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2026-07-29 |