NPI | 1023146776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 4301102509) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301102509) |
207YS0012X (Licence: MI 4301102509) | |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036-121585) | |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036-121585) | |
Enumeration Date | 2007-03-02 |
Last Update Date | 2023-10-26 |