| NPI | 1932212651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY 167882) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 167882-1) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-10-11 |