| NPI | 1467441162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 36738) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301052018) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2017-02-22 |