| NPI | 1558365452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX E6327) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: TX E6327) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-02-23 |