| NPI | 1326249707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DC MD039464) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101249202) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-04-22 |