| NPI | 1013029446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D28133) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D28133) |
| 208600000X Surgery (Licence: MD D28133) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-12-02 |