| NPI | 1427493485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 57152) |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: MN 65326) |
| 207Y00000X Otolaryngology (Licence: IL 036161072) | |
| 207Y00000X Otolaryngology (Licence: WI 2546) | |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2025-08-07 |