| NPI | 1528564556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-18182) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.148385) |
| 207Y00000X Otolaryngology (Licence: AR E-18182) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OH 35.148385) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-07-31 |