| NPI | 1740205962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NH 12885) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NJ 25MA09782100) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-05-29 |