| NPI | 1346487881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD479661) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2017017162) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2023-03-27 |