| NPI | 1235142480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 13643) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NH 13643) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NH 13643) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NH 13643) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-11-18 |