| NPI | 1144231671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME73739) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: FL ME73739) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-02-09 |