| NPI | 1437670288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-15425) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 8039) |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2023-08-29 |