| NPI | 1780648030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 025050) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: LA 025050) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2012-11-16 |