| NPI | 1831397363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2013-01628) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NJ 25MB08124100) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 2013-01628) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-08-07 |