| NPI | 1427019389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 12272R) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: LA 12272R) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2025-02-04 |