| NPI | 1538160452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 252443) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: MA 252443) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-07-28 |