| NPI | 1144532383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME128537) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME128537) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: FL ME128537) | |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2024-04-30 |