| NPI | 1437163987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.024105) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD47915) |
| 207Y00000X Otolaryngology (Licence: NE 30482) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-07-21 |