| NPI | 1982721098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OK 25575) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MA 228320) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WV 22339) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-05-05 |