NPI | 1447719760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61482391) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: WA MD61482391) |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD61482391) | |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WA MD61482391) | |
Enumeration Date | 2019-03-16 |
Last Update Date | 2024-06-14 |