| NPI | 1174785182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301102283) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301102283) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MI 4301102283) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-07-12 |