| NPI | 1124240577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A108149) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2002031469) |
| 207Y00000X Otolaryngology (Licence: CA A108149) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-04-29 |