| NPI | 1750609285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A136819) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A136819) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2023-08-17 |