| NPI | 1487606281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A21710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A21710) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-09-11 |