| NPI | 1326114976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX F7849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F7849) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: TX F7849) | |
| 237700000X Hearing Instrument Specialist (Licence: TX F7849) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-05-02 |