| NPI | 1326032285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 039287) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 204669) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |