| NPI | 1932561313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: VA 0101284371) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101284371) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-09-25 |