| NPI | 1518429604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0099343) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA PTL455) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-05-08 |