| NPI | 1427025675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA C52086) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: LA MD.207839) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-09-03 |