| NPI | 1497721682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 209930) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 209930) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-04-05 |