| NPI | 1902833452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX M1858) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX M1858) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-06-21 |