| NPI | 1194788760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 8975106) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 37938) |
| 207Y00000X Otolaryngology (Licence: NC 37938) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-05-09 |