| NPI | 1598776338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: MS 12859) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS 12859) |
| 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: MS 12859) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-06-29 |