| NPI | 1316059348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A117521) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A117521) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A117521) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-08-05 |