| NPI | 1497765812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 38718) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CO 38718) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CO 38718) | |
| 207YS0012X (Licence: CO 38718) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-10-10 |