| NPI | 1174747828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: HI MD14172) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301085901) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-01-24 |