| NPI | 1518320381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME156260) |
| Additional Taxonomies | 207YS0012X Otolaryngology Sleep Medicine (Licence: FL ME156260) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-08-10 |