| NPI | 1992743066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MO 2006035755) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OK 3677) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2006035755) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-03-21 |