| NPI | 1467898411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM MD2019-0850) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-45088) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2023-07-21 |