| NPI | 1750432043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OK 4875) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006033639) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2016-11-11 |