| NPI | 1427033752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MO R8653) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MO R8653) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-08 |