NPI | 1659807972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 324894) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: LA 324894) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2020-11-03 |