| NPI | 1033315411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P7624) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NM RS20070279) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-08-26 |