| NPI | 1841309580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 246671) |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CA A107293) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-02-09 |