| NPI | 1104423680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AZ R80723) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ZZ 414909) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-06-10 |