| NPI | 1275735383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q1152) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A98774) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-08-09 |