| NPI | 1568510220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A115359) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 234896) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-07-14 |