| NPI | 1275643520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 030108) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 30108) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-02-13 |