| NPI | 1780884999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA C162020) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: HI 11604) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-02-28 |