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...
GA license #92720taxonomy 207YX0007X
Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
taxonomy 390200000X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Otolaryngology
Medical school
Loyola University Of Chicago, Stritch School Of Medicine
Graduation year 2015
Largest Medicare group
3059 members
Largest listed enrollment group
Facility affiliations reported by CMS
Wellstar Medical Group Llc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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