| NPI | 1235144742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A85348) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A85348) |
| 207Y00000X Otolaryngology (Licence: OR MD26754) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OR MD26754) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-04-28 |