| NPI | 1225033434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 49641) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD454555) |
| 207Y00000X Otolaryngology (Licence: SC 86684) | |
| 207Y00000X Otolaryngology (Licence: TN M00000018696) | |
| 207Y00000X Otolaryngology (Licence: IL 036158466) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2023-02-08 |