| NPI | 1326063678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 13952) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NH RT1606) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-04-28 |