| NPI | 1295831626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 12947) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 72472) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-05-29 |