| NPI | 1245449552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 29437) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OK 29437) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-05-12 |