| NPI | 1295793834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 370728-1205) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: UT 370728-1205) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-03-27 |