NPI | 1992723183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC ME138195) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC ME138195) |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: SC ME138195) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2025-02-09 |