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 |