| NPI | 1164402046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: MO 33563) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: KS 0526146) |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: OK 22386) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-03-08 |