| NPI | 1740215904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: SC 23048) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 23048) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-05-26 |