| NPI | 1053570184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P5560) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10032655) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2013-06-24 |