| NPI | 1245690650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CO DR.0068658) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0068658) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2025-08-12 |