| NPI | 1386939023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD459611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247774) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-03-16 |