| NPI | 1841299682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN TN33412) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD00000033412) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2014-01-28 |