| NPI | 1346401478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD452360) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 246131) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2018-12-26 |