| NPI | 1669638243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD151193) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR LL17648) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-06-09 |