| NPI | 1073798781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 20122) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 43312) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2016-03-09 |