NPI | 1447756069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 13827321-8905) |
Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: CA A163955) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-06-28 |