NPI | 1679680730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX F2713) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX F2713) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-03-19 |