| NPI | 1831978196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology Sleep Medicine (Licence: CA SPI791) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 791) |
| 207Y00000X Otolaryngology (Licence: CA SPI791) | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-04-28 |