| NPI | 1922192657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA C54859) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX K2716) |
| 207Y00000X Otolaryngology (Licence: CA C54859) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-04-29 |