NPI | 1679656250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX H4534) |
Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: TX H4534) |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX H4534) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2022-02-15 |