| NPI | 1790871416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NY 243473) |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NJ 25MA08244300) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-10-28 |