| NPI | 1366634388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CO DR-50351) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR-50351) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO DR-50351) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-02-04 |