| NPI | 1285049510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MA 1016606) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 1016606) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: UT 11273467-1205) | |
| 208600000X Surgery (Licence: SC 37240) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-02-20 |