| NPI | 1588154975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX U9628) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX U9628) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-08-20 |