NPI | 1952765943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0069525) |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: UT 13279289-1205) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-07-26 |