| NPI | 1730610692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 70235) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: WI 70235) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-10-29 |