NPI | 1265847040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TN 3681) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 5101021207) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2024-09-29 |