NPI | 1508495383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA MD-54514) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IA MD-54514) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2025-07-08 |