| NPI | 1427138890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 20903) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NC 20903) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 20903) | |
| 207YS0012X (Licence: NC 20903) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-02-03 |