| NPI | 1528562527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 185833) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 11393298-1205) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-05-30 |