| NPI | 1073582789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 024060) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 24060) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-10-31 |