| NPI | 1598968380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD156611) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN11153) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-10-16 |