| NPI | 1598721474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A48866) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA A48866) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-02-22 |