An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Plastic Surgery within the Head & Neck | 207YX0007X |
* Indicates primary specialty
| NPI Number | 1104388818 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 04/02/2019 |
| Last updated | 02/04/2026 - About 4 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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