| NPI | 1194046151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A136329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A136329) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-12-04 |