NPI | 1265965339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A157124) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A157124) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2024-10-25 |