| NPI | 1922340579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA C171386) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD186941) |
| 207Y00000X Otolaryngology (Licence: LA 320754) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2022-06-27 |