| NPI | 1295786135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX H7889) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX H7889) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX H7889) | |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: TX H7889) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX H7889) | |
| 231H00000X Audiologist (Licence: TX H7889) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX H7889) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-04-14 |