| NPI | 1437193224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: PA MD480123) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 35087018) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-04-05 |