NPI | 1902833452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD417924) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX M1858) |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PA MD417924) | |
2086X0206X Surgery, Surgical Oncology (Licence: TX M1858) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2025-08-29 |