| NPI | 1427254291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME115848) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MT202543) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME115848) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-02-15 |