| NPI | 1144463613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.207596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.046485) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2022-04-20 |