| NPI | 1447434915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 55430) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 055430) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2013-04-29 |