| NPI | 1346424835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: TX N6679) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD29181) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2021-09-22 |