| NPI | 1427898089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA SPI830) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA SPI830) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-08-06 |