| NPI | 1861506776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 204511) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: RI MD14913) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-07-11 |