| NPI | 1427044122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: AZ 9261) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 9261) |
| 231H00000X Audiologist (Licence: AZ 9261) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-03-24 |