| NPI | 1649224411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA MD-29629) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ND LT20369) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-11-07 |