| NPI | 1578674859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A108402) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA ML20007653) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-03-06 |