| NPI | 1316919855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2010011172) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 5101016752) |
| 207Y00000X Otolaryngology (Licence: IL 36115475) | |
| 207Y00000X Otolaryngology (Licence: IN 02002288A) | |
| 207Y00000X Otolaryngology (Licence: AR E5699) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-12-27 |