| NPI | 1821072893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NC 27432) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NC 27432) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2010-08-19 |