| NPI | 1588836126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD451417) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD49551) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2018-11-21 |