| NPI | 1396919056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TN MD45898) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY P52860) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-07-10 |