| NPI | 1285606350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: SC 21986) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101054439) |
| 207Y00000X Otolaryngology (Licence: SC 21986) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2022-10-18 |