| NPI | 1356139562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NY P134219) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY P134219) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |