| NPI | 1881786341 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI RF041043) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI RF041043) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-05-22 |