| NPI | 1538370309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P6224) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A 121444) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-07-09 |