NPI | 1487155578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY 321171) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-46986) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2025-08-11 |