NPI | 1720030315 |
---|---|
Professional Name | P. ASHLEY WACKYM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NJ 25MA09934900) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NJ 25MA09934900) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2024-04-10 |