| NPI | 1194766824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 192242) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY NY192242) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-12-12 |