NPI | 1306265269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PR 23503) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PR 23503) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2023-11-07 |