NPI | 1669738324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301111630) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 4301111630) |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301111630) | |
Enumeration Date | 2012-04-07 |
Last Update Date | 2024-01-16 |