| NPI | 1265497044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: OH 35084102) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35084102) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2025-06-04 |