| NPI | 1245423714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD444056) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA MD.200568) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2011-12-06 |