| NPI | 1336584630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 323315) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-15315) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AR E-15315) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2023-08-25 |