| NPI | 1699790063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA md052722l) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA Md-052722-L) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-10-21 |