| NPI | 1295096600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301502578) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-44497) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2024-02-22 |