| NPI | 1841670007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0090244) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD214703) |
| 207Y00000X Otolaryngology (Licence: MI 4301107491) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-06-20 |