| NPI | 1588865091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2010029569) |
| Additional Taxonomies | 207YS0012X Otolaryngology Sleep Medicine (Licence: MO 2010029569) |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: MO 2010029569) | |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: MO 2010029569) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-02-17 |