| NPI | 1952589491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 262359) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 229792) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2019-04-02 |