NPI | 1447396601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A117432) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A117432) |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A117432) | |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A117432) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2023-07-31 |