| NPI | 1619468436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A187778) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A187778) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-08-18 |