| NPI | 1265479745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NV 12715) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A77684) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-12-19 |