| NPI | 1154525681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD156970) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 50931) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-07-27 |