| NPI | 1992024533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 17599) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A134889) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2020-08-31 |