| NPI | 1508285693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A188996) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0065880) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-11-22 |