| NPI | 1841297884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 200801013) |
| Additional Taxonomies | 207YS0012X (Licence: NC 200801013) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2018-11-28 |