| NPI | 1881959864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: SC LL35485) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: DE C7-0005059) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2015-08-17 |