| NPI | 1295091155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA A127918) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A127918) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-03-31 |