| NPI | 1053386763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX N2537) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SD 6053) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A60281) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-02-12 |