| NPI | 1659367449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 17741) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 17741) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-04-17 |