NPI | 1548463839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME113636) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME113636) |
2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME113636) | |
207Y00000X Otolaryngology (Licence: FL ME113636) | |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME113636) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2025-03-26 |