| NPI | 1851910517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL HSE29937) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AK 164419) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: WI 21770-875) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NH EL07031) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NH 30863) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-09-05 |