| NPI | 1437532967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 080733) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 008134) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-11-27 |