| NPI | 1346629110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 35.144917) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.144917) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: UT 11619971-1205) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OH 35.144917) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: UT 11619971-1205) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2022-07-29 |