| NPI | 1487147377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 20924) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 5101024129) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-06-09 |