| NPI | 1205499159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IA MD-56759) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IA MD-56759) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2026-08-10 |