| NPI | 1427153097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ID M7021) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: HI 13766) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-06-10 |