| NPI | 1508848474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: OR MD16163) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: ID M-9673) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-04-10 |