| NPI | 1225328362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 077907) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 077907) |
| 207Y00000X Otolaryngology (Licence: AL MD32215) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AL MD32215) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-07-06 |