| NPI | 1548469091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 269641-1) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY 269641-1) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2019-04-03 |