| NPI | 1548208481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2016-02557) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D44524) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NC 2016-02557) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-01-20 |