NPI | 1417030792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NJ 25MA06549000) |
Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: NJ 25MA06549000) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2019-04-01 |