| NPI | 1174554521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX L5777) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L5777) |
| 207Y00000X Otolaryngology (Licence: TX L5777) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX L5777) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-01-25 |