| NPI | 1760498620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 22658) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD462683) |
| 207Y00000X Otolaryngology (Licence: IL 036106991) | |
| 207Y00000X Otolaryngology (Licence: IN 036106991) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-25 |