| NPI | 1821022690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D33289) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD473924) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2026-04-23 |