| NPI | 1255626685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IA MD-44501) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-44501) |
| 207Y00000X Otolaryngology (Licence: TN MD53998) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IA MD-44501) | |
| 207YS0012X (Licence: IA MD-44501) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IA MD-44501) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: IA MD-44501) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IA MD-44501) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IA MD-44501) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-07-21 |