NPI | 1093229452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MN 72135) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 31662) |
207Y00000X Otolaryngology (Licence: MN 72135) | |
Enumeration Date | 2017-11-21 |
Last Update Date | 2025-09-12 |