| NPI | 1144410325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 14738) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 2484851) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-08-31 |