| NPI | 1790868396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX F2679) |
| Additional Taxonomies | 207YS0012X Otolaryngology Sleep Medicine (Licence: TX F2679) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-10-03 |