| NPI | 1932119831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 04839) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MS 04839) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-06-29 |