| NPI | 1841467362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME100639) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME100639) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-05-03 |