| NPI | 1225157886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL MD.30920) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 49837) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-10-13 |