| NPI | 1295847440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR md19303) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA md00034914) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-02-04 |