| NPI | 1730278375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD166617) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: FL ME 109697) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A107625) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OR MD166617) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: WA MD 60454681) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-08-01 |