| NPI | 1275689945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0045647) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC MD21781) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-10-15 |