| NPI | 1407824535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NH 13881) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OK 19253) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OK 19253) | |
| 207Y00000X Otolaryngology (Licence: NH 13881) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-02-09 |