| NPI | 1174571749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 34925) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AL MD.34694) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-09-02 |