| NPI | 1316900178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.202064) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0063284) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-03-09 |