| NPI | 1043478902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME163134) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A125279) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A125279) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-08-24 |