| NPI | 1750351797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 331028) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA MD00047231) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 331028) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-07-18 |