| NPI | 1992895486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: AR N-8339) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: AR N-8339) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-02-26 |