| NPI | 1730145418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CO DR.0016815) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CO DR.0016815) |
| 207Y00000X Otolaryngology (Licence: VA 0102201092) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: VA 0102201092) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2024-03-06 |