NPI | 1598030827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A202236) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD474986) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2025-08-30 |