| NPI | 1821226358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME120244) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 32237) |
| 207P00000X Emergency Medicine (Licence: IL 13444) | |
| 207Y00000X Otolaryngology (Licence: AL 32237) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2022-12-22 |