| NPI | 1851608954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD d0081920) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D81920) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD d0081920) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2024-11-20 |