| NPI | 1275557738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 213462) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MA 213462) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-05-08 |