| NPI | 1073714887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 38492) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-7352) |
| 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: IA 38492) | |
| 207YS0012X Otolaryngology Sleep Medicine (Licence: IA 38492) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-04-14 |