| NPI | 1265968945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A191206) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A191206) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA 191206) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-06-05 |