| NPI | 1952563561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 57890) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 206089) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-12-28 |