| NPI | 1932287927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G72930) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD21813) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-12-02 |