| NPI | 1114097516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A39823) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A39823) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-07-18 |