NPI | 1043241771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61610993) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD61610993) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-12-09 |