| NPI | 1659493393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR E8141) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 065885) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-03-10 |