| NPI | 1285898916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD-15250) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT186168) |
| 207Y00000X Otolaryngology (Licence: PA MD437481) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2012-10-01 |