| NPI | 1497808281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35-056288) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OH 35-056288) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-12-17 |