| NPI | 1477536985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NC 31168) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX J3151) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2023-05-08 |