| NPI | 1285682005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: FL ME43580) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME43580) |
| 207YS0012X Otolaryngology Sleep Medicine (Licence: FL ME43580) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-03-18 |