NPI | 1427172709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A41015) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A41015) |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A41015) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2014-03-10 |