| NPI | 1649396185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: UT 327556) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301083582) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI 4301083582) | |
| 207YS0012X (Licence: MI 4301083582) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 4301083582) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: UT 327556) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301083582) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MI 4301083582) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301083582) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083582) | |
| 207Y00000X Otolaryngology (Licence: UT 327556) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-04-27 |