| NPI | 1316074370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 33217) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CO DR.0033217) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2026-04-09 |