| NPI | 1285800573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: SC 30816) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101256335) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MN 56411) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-07-23 |