| NPI | 1265438493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: FL ME58964) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 58964) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-03-24 |