| NPI | 1821346636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A161706) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA 491) |
| 207Y00000X Otolaryngology (Licence: CA A161706) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA F5720) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-07-11 |