| NPI | 1609126077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD d88680) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 1609126077) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2022-05-12 |