| NPI | 1023284148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NH 15218) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NH 15218) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2012-05-22 |