| 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 |