| NPI | 1558462937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD482706) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35091822) |
| 207Y00000X Otolaryngology (Licence: NC 9801559) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-09-18 |