| NPI | 1841286184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: AZ 12499) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 12499) |
| 231H00000X Audiologist (Licence: AZ 12499) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-03-24 |