| NPI | 1457672099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D85829) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA 198033) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-08-25 |