| NPI | 1255472197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0068707) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC MD048745) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-07-12 |