| NPI | 1235223108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0051250) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101234897) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-09-21 |