| NPI | 1316945819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0042364) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX S2843) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2025-10-02 |