| NPI | 1306879291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: NE 24133) |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NE 24133) |
| 2086X0206X Surgery Surgical Oncology (Licence: NE 24133) | |
| 208600000X Surgery (Licence: NE 24133) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-12-16 |