| NPI | 1952324907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR 161667) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A114609) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-06-05 |