| NPI | 1437335973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 67887) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D79215) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2015-10-12 |