| NPI | 1801846654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CA G89226) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D44437) |
| 207Y00000X Otolaryngology (Licence: CA G89226) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-04-29 |