| NPI | 1841451556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A109144) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD434096) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2024-04-29 |