| NPI | 1932107935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0054026) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0054026) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-07-29 |