| NPI | 1265545222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101245145) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0024504) |
| 207Y00000X Otolaryngology (Licence: DC MD037916) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-11-16 |