| NPI | 1427023506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD008053) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000008053) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-02-19 |