| NPI | 1427290279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM MD2022-1129) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A120515) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2024-10-05 |