NPI | 1467410613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD00034623) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WA MD00034623) |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00034623) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2023-05-15 |