| NPI | 1689023038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D91445) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10057070) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-07-07 |