| NPI | 1225328461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A116526) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A116526) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2021-11-29 |