NPI | 1225295868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 253652) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A107722) |
207Y00000X Otolaryngology (Licence: CA A107722) | |
207Y00000X Otolaryngology (Licence: NY 253652) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2014-05-12 |