| NPI | 1952348492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NC 95-00387) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 9500387) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-12-13 |