| NPI | 1720088255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 200000428) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 200000428) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2021-03-26 |