| NPI | 1780942946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX U7691) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-45955) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-03-01 |