| NPI | 1093740086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX L9258) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX L9258) |
| 207Y00000X Otolaryngology (Licence: TX L9258) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-04-14 |