| NPI | 1386700300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 31502) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 245267) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-08-23 |