| NPI | 1386872497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC LL31983) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NM MD20160873) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-07-14 |