| NPI | 1588009757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D88114) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A155330) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-12-09 |