| NPI | 1952591828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: ME DO3910) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 5101015234) |
| 207Y00000X Otolaryngology (Licence: ME DO3910) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2025-09-03 |