| NPI | 1770558454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME130013) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME130013) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME130013) | |
| 207Y00000X Otolaryngology (Licence: FL ME130013) | |
| 208200000X Plastic Surgery (Licence: GA 77201) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME130013) | |
| 208600000X Surgery (Licence: FL ME130013) | |
| 208600000X Surgery (Licence: GA 77201) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME130013) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-10-15 |