| NPI | 1629012323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A042826) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A42826) |
| 207P00000X Emergency Medicine (Licence: CA A042826) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-09-02 |