| NPI | 1134336373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OK 5413) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 57565) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: PA OS014959) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WI 57565) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-10-05 |