| NPI | 1558368415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 029536) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: GA 029536) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2017-02-01 |