| NPI | 1275152662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A186426) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA PTL3395) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-06-19 |