| NPI | 1215146956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301103981) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 22205) |
| 207Y00000X Otolaryngology (Licence: MD D68392) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-12-27 |