NPI | 1720134307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO DR.0051170) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR 153458) |
207Y00000X Otolaryngology (Licence: CO 51170) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2025-03-26 |