| NPI | 1568704146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD464233) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT204178) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-12-22 |