| NPI | 1487733192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NM 97-341) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NM 97-34) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NM 97-34) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-11-21 |