| NPI | 1598729998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA G81757) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA G81757) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA G81757) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2010-08-31 |