| NPI | 1871614297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 060222) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 60222) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-04-05 |