NPI | 1023368503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OR MD218363) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A185473) |
207Y00000X Otolaryngology (Licence: TX BP10065145) | |
207Y00000X Otolaryngology (Licence: CA A185473) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2024-08-01 |