| NPI | 1972826196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IA MD-42587) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-42587) |
| 207Y00000X Otolaryngology (Licence: VA 0101251241) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2023-09-11 |