| NPI | 1720053598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME80577) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME80577) |
| 207Y00000X Otolaryngology (Licence: OR MD190128) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX Q9166) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 063471) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OR MD190128) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-06-29 |