| NPI | 1457340507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 13543) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 13894) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-10-17 |