| NPI | 1578622130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD H85869) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0102201384) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-01-24 |