| NPI | 1508817487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD16855) |
| Additional Taxonomies | 207YS0012X Otolaryngology Sleep Medicine (Licence: TN MD16855) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-08-28 |