| NPI | 1730615287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A188212) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD d93707) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2026-01-15 |