| NPI | 1053354597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A074869) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301083300) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A074869) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301083300) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-01-08 |