| NPI | 1346462496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX Q7259) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A117254) |
| 207Y00000X Otolaryngology (Licence: IL 125-051674) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-10-28 |