| NPI | 1790883999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX L9228) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX L9228) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-12-16 |