NPI | 1578578076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY 263779) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NY 263779) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2025-09-19 |