| NPI | 1942491196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WA OP00002336) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA OP00002336) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-12-16 |