| NPI | 1932441185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 58236) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD187068) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-01-24 |