| NPI | 1184828170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WI 52341-20) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 52341-20) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-01-15 |