| NPI | 1821052994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NC 2008-00658) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35082667) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-06-25 |