| NPI | 1477612372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD485648) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA C146197) |
| 207Y00000X Otolaryngology (Licence: IL 036142067) | |
| 207Y00000X Otolaryngology (Licence: VA 0101240491) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-07-03 |