| NPI | 1114193448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD174035) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA a131423) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2015-10-02 |