| NPI | 1437154960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA07925300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07925300) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2025-02-04 |