| NPI | 1144615253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A148212) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 283221) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-08-09 |