| NPI | 1235170572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ND 22023) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DE C1-0006640) |
| 207Y00000X Otolaryngology (Licence: MD D0059096) | |
| 207Y00000X Otolaryngology (Licence: GA 80480) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: DE C1-0006640) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0059096) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-03-31 |