| NPI | 1861870511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD469752) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT208847) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-12-19 |