NPI | 1790282440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 339127) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A165829) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2025-09-04 |