| NPI | 1487249199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 35200) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A208072) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2026-06-26 |