| NPI | 1427554047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IA MD-51336) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-51336) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-07-13 |