| NPI | 1366898322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 70528) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D87794) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2024-06-17 |