| NPI | 1740373190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CO DR.0033414) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO 33414) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2021-01-20 |