| NPI | 1821176017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MD D0064743) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0064743) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2016-09-15 |