| NPI | 1730409970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: FL OS16514) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: PA OT013694) |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: MA 260512) | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: NH 17367) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2023-09-20 |