| NPI | 1508868951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MO 2007033579) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E3902) |
| 207Y00000X Otolaryngology (Licence: MO 2007033579) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AR E3902) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-04-10 |