| NPI | 1144439548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA R7303) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 53225) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-03-07 |