| NPI | 1508495383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA MD-54514) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IA MD-54514) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-07-08 |