NPI | 1891714572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME99654) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME99654) |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME99654) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2025-04-17 |