| NPI | 1588612717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 11809) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 11809) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-04-22 |