| NPI | 1902833171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 30932) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 30932) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-10-22 |